Individual
YUSRA SHABBIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1642
Mailing address
1169 EASTERN PKWY, LOUISVILLE, KY 40217-1417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
Primary
PA3174
KY
Other
Enumeration date
12/20/2018
Last updated
04/03/2023
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